NPI 1114083474

Tanager Place

Organisation Psychiatric Residential Treatment Facility Cedar Rapids, IA

Practice location

Address: 2309 C St SW, Cedar Rapids, IA 52404-3707
Phone: (319) 365-9164
Fax: (319) 365-6411

Authorised official

Name: Jeff Humiston
Title: C.F.O.
Phone: (319) 365-9164

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 57PM-0005 (IA)

Other Psychiatric Residential Treatment Facility providers in Iowa →

Registry record

NPI: 1114083474
Entity type: Organization
NPI issued: 29 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.